NPI 1073058293

Jacob Coronado

Practitioner Case Manager/Care Coordinator Spokane, WA

Practice location

Address: 1700 S Assembly Rd STE 300, Spokane, WA 99224-2116
Phone: (509) 892-9241
Fax: (509) 892-9251
Mailing address: 1002 N Superior St, Spokane, WA 99202-2059

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1073058293
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Dec 2016
Record last updated: 28 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.